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患儿,女,4岁。于1989年4月20月来院门诊。起病发热37.8℃,腹痛,并大量水泻已7天,以间歇性腹泻为主。给口服吡哌酸、石榴皮合剂,症状无改善,又水泻6次,量多。4月21日又来我院门诊。大便检查:黄稀糊状,无脓血。用改良Kinyoun氏抗酸染色法直接涂片检查,光学显微镜观察,发现大量隐孢子虫卵囊。该卵囊呈玫瑰红色,圆形或不规则椭圆形,虫体呈环状或马蹄形,子孢子着色深染,残余体呈暗色颗粒状,背景呈孔雀绿色。患儿当时呕吐相当严重,呈喷射状,将呕吐物涂片染色,经多次检查发现隐孢子虫卵囊,其形态与粪便中基本相似,仅形态比粪便中隐孢子虫卵略小些。诊断为隐孢子虫性胃肠炎。
Children, female, 4 years old. In April 1989 to the hospital outpatient. Fever fever 37.8 ℃, abdominal pain, and a large number of watery diarrhea has been 7 days, mainly to intermittent diarrhea. Give oral piperacillin, pomegranate skin mixture, no improvement in symptoms, but also watery diarrhea 6 times. April 21 came to our hospital. Stool examination: yellow thin paste, no blood. With improved Kinyoun’s acid-fast staining direct smear, light microscopy, found a large number of Cryptosporidium oocysts. The oocysts were rose-red, round or irregular oval, the body was ring-shaped or horseshoe-shaped, the sporozoites stained deeply, the residue was dark granular, peacock green background. At that time, children with vomiting was quite serious, was spray-like, stained vomit smear, after repeated inspection found that Cryptosporidium oocysts, its morphology and feces are basically similar, only slightly smaller than the form of cryptosporidium eggs in the faeces. Diagnosis of Cryptosporidium gastroenteritis.